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Intratesticular Leiomyoma: Lessons Learned From a Case Report and Another Contribution to Enlarge a Small World
Mohamed Amine Haouane1, Fouad Hajji2, Omar Ghoundale2
1Department of Pathology, Faculty of Medicine and Pharmacy, Cadi Ayyad University/Ibn Sina Military Hospital, Marrakech, MAR.
Cureus
|March 24, 2023
Summary
This report details a rare case of intratesticular leiomyoma, a benign smooth muscle tumor, found in a 44-year-old man. Early detection and intraoperative frozen section examination are crucial for potential testicular preservation.
Area of Science:
- Urology
- Pathology
- Oncology
Background:
- Leiomyomas are benign mesenchymal neoplasms originating from smooth muscle.
- Intratesticular leiomyomas are exceptionally rare tumors of the testis.
Observation:
- A 44-year-old male presented with an asymptomatic left scrotal mass.
- Scrotal ultrasonography revealed a 3.9 cm well-defined, hypoechoic intratesticular mass.
Findings:
- Histologic examination confirmed the mass as an intratesticular leiomyoma.
- This represents the 19th reported case of intratesticular leiomyoma in the medical literature.
Implications:
- The rarity of this condition underscores the importance of accurate diagnosis.
- Intraoperative frozen section examination is recommended to potentially aid in testicular preservation strategies.

